BACKGROUND We have previously reported a hybrid procedure that uses a combination of laparoscopic mobilization of the liver and subsequent hepatectomy under direct vision in living donor liver transplantation (LDLT). We present the details of this hybrid procedure and the outcomes of the procedure. METHODS Between January 1997 and August 2014, 204 LDLTs were performed at Nagasaki University H...

PURPOSE To confirm the feasibility of the laparoendoscopic Pfannenstiel nephrectomy using conventional laparoscopic instruments. MATERIALS AND METHODS Since March 2009, laparoscopic nephrectomy through a Pfannenstiel incision has been performed in selected patients in our service. The Veress needle was placed through the umbilicus which allowed carbon dioxide inflow. One 5 mm (or 10 mm) troca...

BACKGROUND AND OBJECTIVES To present our experience with a single-incision laparoscopic total colectomy, along with a literature review of all published cases on single-incision laparoscopic total colectomy. METHODS A total of 22 cases were published between 2010 and 2011, with our patient being case 23. These procedures were performed in the United States and United Kingdom. Surgical proced...

The hernias need to be addressed at an earlier stage to prevent the development of complications mainly strangulation. The risk of complications is more in children <6 months of age. About 90% of complications can be prevented if a hernia repair is performed within a month of diagnosis [1,2]. Almost all hernias in children are indirect type, where the gut or the omentum enters the preformed sac...

Efforts to improve operating room efficiency may threaten clinician training. Therefore, we designed a prospective, observational study to determine the actual time spent teaching anesthesiology residents during the interval from patient-on-table to skin incision and to determine whether anesthesia teaching in the peri-induction period increases the time to surgical incision. This study was con...

Objectives: Median sternotomy is the incision of choice for most cardiac surgical procedures, but the full-length vertical skin incision generally leaves an unsightly scar. In certain patients undergoing short, low-risk procedures, cosmetic considerations are of relatively greater importance. Methods: A minimal transverse curvilinear skin incision with low median sternotomy is described which g...

OBJECTIVE To compare the clinical outcome of anterolateral minimally invasive approach versus conventional posterior approach for total hip replacement against femoral neck fractures in elderly patients. METHODS The retrospective study was carried out on 42 patients who suffered from displaced femoral neck fractures (19 cases of Garden type III, 23 cases of Garden type IV) treated by total hi...

Abstract Background Intertrochanteric fractures are of elderly population and known for morbidity mortality. Early stabilization with minimal surgical trauma is important early mobilization to prevent recumbence-related complications. Methods This prospective study was conducted on 50 stable intertrochanteric that were managed by fixation a small two-hole dynamic hip screw –(DHS) side plate usi...

BACKGROUND Laparoscopic colorectal surgery remains one of the most challenging techniques to learn. METHODS The authors collected studies that have compared hand-assisted laparoscopic surgery (HALS) and open surgery for the treatment of colorectal disease over the past 17 years. Data of interest for HALS and open surgery were subjected to meta-analysis. RESULTS Twelve studies that included ...